Active NPI
Andrew Douglas Roof, PT
- Physical Therapist
- Hood River, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4861
- Practice address
- 1700 12TH St Ste C
Hood River, OR 97031-9540 - Phone
- (360) 254-6161
- Fax
- (360) 449-1146
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4861 | OR | Primary |
Addresses
Primary practice location
1700 12TH St Ste C
Hood River, OR 97031-9540
Mailing address
200 NE Mother Joseph PL Ste 210
Vancouver, WA 98664-3295
Phone (360) 254-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Emory University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 N Ctr Court St
110 Rebound Sports Medicine
Portland, OR 97227-2104
Phone (503) 732-6863
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24565 | CA | MD | Group Psychotherapy Psychologist |
| 4861 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Surgical Specialists PC | Current | Accepting new patients | |
| Northwest Surgical Specialists, P.C. | Current | Accepting new patients | |
| J and D Physical Therapy Services | Physical Therapist | Past | Accepting new patients |
| Recovery Physical Therapy,PC | Physical Therapist | Past | Accepting new patients |
| Motion Recovery Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
1700 12th St
Ste C
Hood River, OR 97031
Phone (541) 386-9735
1 N Center Court St
Ste 110
Portland, OR 97227
Phone (503) 732-6863
1 N Center Court St
Ste 11
Portland, OR 97227
Phone (503) 732-6863
200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145
Interoperability endpoints
- andrew.roof.p1@direct.reboundmd.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1730118803
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1821510306
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1134299951
Physical Therapist
-
- Physical Therapist
- Sacramento, CA
- NPI 1851478986
-
- Physical Therapist
- Glendale, NY
- NPI 1407991805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1497735732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643295",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 12TH ST STE C",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970319540",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOF",
"first_name": "ANDREW",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.